Individual
DR. LISA D. RASMUSSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSY.D.
Contact information
Practice address
1502 SAWYER ST STE 234, HOUSTON, TX 77007-4446
(281) 783-9297
Mailing address
4603 ANDOVER CT, SUGAR LAND, TX 77479-3942
(713) 818-6786
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
36870
TX
103TC0700X
Clinical Psychologist
PY7412
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
90020
BLUE CROSS PROVIDER NUMBE
FL
Enumeration date
12/29/2006
Last updated
03/27/2023
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